Terms in this set (43)
✅- The client's affected hip joint following a hemiarthroplasty (partial hip
replacement) is at risk of dislocation for 6 months to a year following the
procedure. Hip precautions to prevent dislocation include placing a pillow
the knees to maintain abduction of the hips (B). Clients should be instructe
A 73-year-old female client had a avoid bending at the waist (A), to seek assistance for both standing and w
hemiarthroplasty of the left hip yesterday until they are stable on a walker or cane (C), and to take pain medication 2
due to a fracture resulting from a fall. In minutes prior to physical therapy sessions, rather than waiting until the pa
reviewing hip precautions with the client, is high after their therapy. Correct Answer: B
which instruction should the nurse include
in this client's teaching plan?
A. In 8 weeks you will be able to bend at
the waist to reach items on the floor.
B. Place a pillow between your knees
while lying in bed to prevent hip
dislocation.
C. It is safe to use a walker to get out of
bed, but you need assistance when
walking.
D. Take pain medication 30 minutes after
your physical therapy sessions.
, ✅- Before planning care, the nurse should determine the etiology, or cau
the problem (A), because this will help determine (B, C, and D). Correct A
After completing an assessment and
determining that a client has a problem,
which action should the nurse perform
next?
A. Determine the etiology of the problem.
B. Prioritize nursing care interventions.
C. Plan appropriate interventions.
D. Collaborate with the client to set goals
, ✅- To ensure that a therapeutic level of medication is maintained, the nu
should administer the missed dose as soon as possible, and revise the
administration schedule accordingly to prevent dangerously increasing the
the medication in the bloodstream (D). The nurse should document the re
A client is in the radiology department at the late dose, but (A and C) are not warranted. (B) could result in increase
0900 when the prescription levofloxacin levels of the drug.
(Levaquin) 500 mg IV q24h is scheduled Correct Answer: D
to be administered. The client returns to
the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and
complete a medication variance form.
B. Administer the Levaquin at 1300 and
resume the 0900 schedule in the
morning.
C. Notify the charge nurse and complete
an incident report to explain the missed
dose.
D. Give the missed dose at 1300 and
change the schedule to administer daily
at 1300.
, ✅-(B)is the correct calculation: To calculate this problem correctly, remem
the dose of KCl is not used in the calculation. 250 ml/4 hours = 63 ml/hour
A client is to receive 10 mEq of KCl Correct Answer: B
diluted in 250 ml of normal saline over 4
hours. At what rate should the nurse set
the client's intravenous infusion pump?
A. 13 ml/hour.
B. 63 ml/hour.
C. 80 ml/hour.
D. 125 ml/hour
✅- The infusion rate is calculated as a ratio proportion problem, i.e., 50 m
min : x ml/ 60 min. Multiply extremes and means 50 × 60 /20x 1= 300/20=
A client is to receive cimetidine (Tagamet) Correct Answer: 150
300 mg q6h IVPB. The preparation
arrives from the pharmacy diluted in 50 ml
of 0.9% NaCl. The nurse plans to
administer the IVPB dose over 20
minutes. For how many ml/hr should the
infusion pump be set to deliver the
secondary infusion?
✅- The client's affected hip joint following a hemiarthroplasty (partial hip
replacement) is at risk of dislocation for 6 months to a year following the
procedure. Hip precautions to prevent dislocation include placing a pillow
the knees to maintain abduction of the hips (B). Clients should be instructe
A 73-year-old female client had a avoid bending at the waist (A), to seek assistance for both standing and w
hemiarthroplasty of the left hip yesterday until they are stable on a walker or cane (C), and to take pain medication 2
due to a fracture resulting from a fall. In minutes prior to physical therapy sessions, rather than waiting until the pa
reviewing hip precautions with the client, is high after their therapy. Correct Answer: B
which instruction should the nurse include
in this client's teaching plan?
A. In 8 weeks you will be able to bend at
the waist to reach items on the floor.
B. Place a pillow between your knees
while lying in bed to prevent hip
dislocation.
C. It is safe to use a walker to get out of
bed, but you need assistance when
walking.
D. Take pain medication 30 minutes after
your physical therapy sessions.
, ✅- Before planning care, the nurse should determine the etiology, or cau
the problem (A), because this will help determine (B, C, and D). Correct A
After completing an assessment and
determining that a client has a problem,
which action should the nurse perform
next?
A. Determine the etiology of the problem.
B. Prioritize nursing care interventions.
C. Plan appropriate interventions.
D. Collaborate with the client to set goals
, ✅- To ensure that a therapeutic level of medication is maintained, the nu
should administer the missed dose as soon as possible, and revise the
administration schedule accordingly to prevent dangerously increasing the
the medication in the bloodstream (D). The nurse should document the re
A client is in the radiology department at the late dose, but (A and C) are not warranted. (B) could result in increase
0900 when the prescription levofloxacin levels of the drug.
(Levaquin) 500 mg IV q24h is scheduled Correct Answer: D
to be administered. The client returns to
the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and
complete a medication variance form.
B. Administer the Levaquin at 1300 and
resume the 0900 schedule in the
morning.
C. Notify the charge nurse and complete
an incident report to explain the missed
dose.
D. Give the missed dose at 1300 and
change the schedule to administer daily
at 1300.
, ✅-(B)is the correct calculation: To calculate this problem correctly, remem
the dose of KCl is not used in the calculation. 250 ml/4 hours = 63 ml/hour
A client is to receive 10 mEq of KCl Correct Answer: B
diluted in 250 ml of normal saline over 4
hours. At what rate should the nurse set
the client's intravenous infusion pump?
A. 13 ml/hour.
B. 63 ml/hour.
C. 80 ml/hour.
D. 125 ml/hour
✅- The infusion rate is calculated as a ratio proportion problem, i.e., 50 m
min : x ml/ 60 min. Multiply extremes and means 50 × 60 /20x 1= 300/20=
A client is to receive cimetidine (Tagamet) Correct Answer: 150
300 mg q6h IVPB. The preparation
arrives from the pharmacy diluted in 50 ml
of 0.9% NaCl. The nurse plans to
administer the IVPB dose over 20
minutes. For how many ml/hr should the
infusion pump be set to deliver the
secondary infusion?
